Assessment of postnatal depression and some associated risk factors among mothers attending the immunisation outpatient department in a tertiary health care centre: a cross sectional study

Background: Postpartum depression is a signi?cant and common health problem that causes a considerable amount of impact to both the mother and baby and distress on the family and society. The objective of this study is to find out prevalence of postnatal depression among mothers attending immunization outpatient department (OPD) for immunization of their baby in a tertiary health care center and to study some risk factors responsible for it.Methods: This cross sectional study was conducted in a tertiary care teaching hospital of Maharashtra state during period September to February 2019. Total 188 mothers were screened for postpartum depression using local version of EPDS (Edinburgh Postnatal Depression Scale).Results: 24 (12.76%) mothers were found to have a score of 10–12 indicating moderate depressive symptoms, and 18 mothers had a score of 13 and above. (9.57%). Risk factors found to be significantly associated with postnatal depression rural residence of mother, lack of support during and after pregnancy, history of domestic abuse, and stressful life events in the past year.Conclusions: Since the prevalence of EPDS score >13 was found to be high in the current study, we recommend routine screening for PPD in our population.

Study of socio-demographic profile and causes of street vending in urban area, Aurangabad, Maharashtra

Background: Street vending as a profession has been in existence in India since times immemorial. Poverty and lack of gainful employment in the rural areas and in the smaller towns drive large numbers of people to the city. Thus the present study is conducted to study socio-demographic profile, causes, addiction, morbidity pattern among street vendors. The objective of the present study is to study socio-demographic profile of street vendors, causes of street vending, addiction among street vendors, health problems faced by street vendors.Methods: The study was conducted in Shahagunj, where urban health training centre of Government Medical College Aurangabad is situated, for period of 2 months duration. All street vendors in the Shahagunj were included in the study. The purpose of study was explained to them. The survey was carried out with predesigned pretested questionnaire. The question related to socio-demographic characteristics, causes of street vending, addiction of smoking were asked.Results: About (29.6%) vendors belongs to age group 30-39, male participants are more in number, illiterate or educated up to primary school. Most of the vendors belongs to nuclear family, 71.25% vendors are migrated from other cities to seek employment, 73.6% vendors works with no holiday in a week. Vendors are addicted of tobacco chewing (27%), pan (6%) and cigarette (6%). Causes to become in informal sector are unable to fulfill requirement of formal sector 54%, only source of income 44% avoid tax is 2%. About 30% vendors are having health issues; maximum was musculoskeletal morbidities contributing 8.8%.Conclusions: Unable to fulfill requirement of formal sector and no other source of income are the major causes to be in the street vending.

Study of tobacco and alcohol consumption among students of a medical college in a city of Maharashtra

Background: Over the years, substance use has increased drastically in every section of the society. Tobacco and alcohol consumption in medical fraternity is quite common. The objectives of the study were to find out the prevalence of tobacco and alcohol consumption in medical students and to find out various reasons to start these habits.Methods: It was a cross-sectional study conducted in Government Medical College, Aurangabad during September to November 2018. Study was conducted amongst undergraduate MBBS students. Taking prevalence as 47%, allowable error 10% and 10% non-respondents the sample size comes as 85. By lottery method, third year medical students were selected randomly for the study. Completed data from 120 students were included in the study. Pre-designed semi-structured self-administered questionnaire was used for data collection. Trial version of SPSS software was used for statistical analysis.Results: In the present study, overall prevalence of substance use among undergraduate MBBS students was found to be 52.5% out of which 61.6% were males and 29.4% were females. Peer pressure was the main reason of continuing the habit (93.2%). 66% of these substance users showed willingness to quit the habit.Conclusions: High prevalence of tobacco and alcohol consumption was observed among undergraduate medical students

A study of prevalence of hypertension and socio-demographic factors in urban slum, Maharashtra

Background: Hypertension is the commonest cardiovascular disorder, posting a major public health problem of the world and especially to population in socio-economic and epidemiological transition. Around 7.5 million deaths or 12.8% of the total of all annual deaths worldwide occur due to high blood pressure. It is predicted to be increased to 1.56 billion adults with hypertension in 2025. In India there is 24-30% of prevalence of hypertension in urban areas and 12-14% in rural areas. The objectives of the study were to find out the prevalence of hypertension in study population of 18 years and above and to study some socio-demographic factors affecting hypertension.Methods: A community based cross sectional study was carried out in urban slum area, under urban field practice area of a Govt. Medical College & hospital. Sample size of 360 participants of age more than 18 yrs residing in study area taken. Data collected by using systematic random sampling by house to house visit. A semi-structured & pretested questionnaire used to interview the patients after obtaining their consent. The data was analyzed using SPSS version 23. Appropriate statistical tests were applied.Results: The overall prevalence of hypertension was 30.5%. Out of 360 subjects, 47 (13%) found elevated hypertensive. Out of 110 hypertensive population nearly 53 (48%) were in older age group, nearly 60 (55%) were illiterate and 53 (48%) were unskilled workers out of 110 was found statistically significant (p<0.05).Conclusions: Prevalence of hypertension found to be 30.5%. Some socio-demographic factors like age, sex, education, occupation were statistically significant (p<0.05).

A study on visual outcomes after cataract surgery with intraocular lens implants at the rural health training center, Paithan, Maharashtra.

A study was conducted to assess the visual outcomes of patients after cataract surgery with intraocular lens implants with reference to visual acuity (VA) and visual function (VF) and to assess patient satisfaction with surgical outcome. The retrospective study was carried out using operation theatre records at the Rural Health Training Centre (RHTC), Paithan, during 2007. Out of 819 cataract surgery patients operated in 2007 a total of 50 were selected randomly. Door-to-door visits were paid by investigator and multipurpose worker to previously operated patients for VA examination and to fill predesigned questionnaire. Statistical analysis was done by using SPSS 17.0 Version; 50% patients had VA in fair vision range of <6/18-6/60 and 52% showed the VF in the range of 76-100. Of the 32 satisfied patients, majority were in the age group 70-79 years. The patients with good visual outcomes achieved after surgery would act as pamphlets for the community.